This collection contains health care-related fraud settlements between states and/or the federal government and private companies that generally result from complaints filed under the False Claims Act. Many of the settlements are accompanied by Corporate Integrity Agreements (CIA). Some settlements have the compliance terms included within their text. In some cases PLUS does have original or amended complaints. The cost for each settlement with any available CIA, if requested, is $27 plus shipping, handling and any applicable state tax.
| Parties | Court | Amount |
| Fraud/Topic | Date | CIA? | |
|
| U.S. ex rel. Devage v. HealthSouth Corp. |
W.D. Tex. |
$325 mill. |
 |
| Fraud. physical therapy claims |
12/30/04 |
Y |
|
| U.S. v. Warsaw Healthcare Center |
E.D. Va. |
$149,000 |
 |
| Failure to meet standards of care |
12/28//04 |
N |
|
| U.S. v. Baptist Med. Cntr, HCA and Community Hlth |
|
$1.5 mill. |
 |
| Anti-kickback violations |
12/20/04 |
N |
|
| U.S. v. Baptist Med. Cntr, HCA and Community Hlth |
|
$1.5 mill. |
 |
| Anti-kickback violations |
12/20/04 |
N |
|
| U.S. ex rel. Fedor v. United HealthCare Ins. Co. |
M.D. Pa. |
$3.5 mill. |
 |
| Medicare fraud |
12/7/04 |
N |
|
| U.S. v. Gambro HealthCare |
E.D. Mo. |
$350 mill. |
 |
| Medicare/Medicaid fraud |
12/2/04 |
Y |
|
| U.S. ex rel. Steeley v. Hunt Memorial Hosp. District for Presbyterian Hosp. Greenville |
M.D. Tenn. |
$406,718. |
 |
| Pneumonia upcoding |
11/12/04 |
Y |
|
| U.S. ex rels. Ben-Barrack,Schultz & Clark v. Poly Medica Corp(Liberty Med.) |
S.D. Fla. |
$35 mill. |
 |
| Medicare fraud |
11/3/04 |
Y |
|
| State of Maine v. Omnicare Pharmacy |
|
$1.1 mill. |
 |
| Patient drug switching |
8/24/04 |
N |
|
| U.S. ex rel. Klimasewiski v. UnitedHealth Group and Travelers Insurance Grp. |
S.D.N.Y. |
$20.6 mill. |
 |
| Medicare billing |
8/9/04 |
N |
|
| U.S. ex rel. Alcorn v. Schering-Plough Corp(Liberty Med.) |
E.D.Pa |
$345.5 mill. |
 |
| Overcharges for Claritin |
7/14/04 |
Y |
|
| U.S. v. Harvard U. & Beth Israel Deaconness Med. C. |
D. Mass. |
$2.4 mill. |
 |
| Misuse of grant $ |
6/17/04 |
N |
|
| U.S. ex rel. Steeley v. Community Medical Center |
M.D. Tenn. |
$516,974 |
 |
| Pneumonia upcoding |
6/10/04 |
Y |
|
| U.S. ex rel. Altman v. Wal-Mart |
D.S.C. |
$2.8 mill. |
 |
| Prescription billing |
6/04 |
Y |
|
| U.S. ex rel. Evans v. Banner Health Systems |
D. Wyo. |
$6.1 mill. |
 |
| Medicate billing |
6/04 |
N |
|
| U.S. ex rel. Suzan Walker v. Radiology Reg. Cntr. |
M.D. Fla. |
$2.5 mill. |
 |
| Medicare billing |
6/04 |
Y |
|
| U.S. ex rel. Friedman v. Rite Aid Corp. |
E.D. Pa. |
$7 mill. |
 |
| Prescription billing |
6/04 |
Y |
|
| U.S. ex rel. Franklin v. Parke-Davis (Warner-Lambert/Pfizer) |
D. Mass. |
$430 mill. |
 |
| Illegal off-label marketing |
5/13/04 |
Y |
|
| U.S. ex rel. Erickson v. U. of Wash. Physicians |
W.D. Wash. |
$35 mill. |
 |
| Health care billing fraud |
4/30/04 |
Y |
|
| U.S. v. HealthNow New York Inc. |
|
$2.6 mill. |
 |
| Inappropriate charges to Medicare |
4/23/04 |
N |
|
| Texas ex rel. Ven-a-Care of the Florida Keys v. Warrick Pharmaceuticals (Schering-Plough Corp.) (U.S. included in settlement) |
Tx. Dist. Ct. |
$27 mill. |
 |
| Medicaid billing (asthma drugs) |
4/20/04 |
N |
|
| U.S v. Beverly HealthCare |
E.D. Va. |
$17,000 |
 |
| Inadequate care & facilities |
4/1/04 |
N |
|
| U.S. v. Valdez |
S.D. Cal. |
$250,000 |
 |
| Power wheelchair fraud |
3/29/04 |
N |
|
| U.S. ex rel. Climaco v. Montefiore Med. Cntr. |
S.D.N.Y. |
$12 mill. |
 |
| Medicare billing |
3/11/04 |
N |
|
| U.S. ex rel. Spear v. Quest Diagnostics Inc. |
D.N.J. |
$11.35 mill. |
 |
| Medicare billing |
3/3/04 |
N |
|
| U.S. ex rel. Flanagan v. Baptist Health System |
N.D. Ala. |
$1.3 mill. |
 |
| Medicare billing |
3/2/04 |
N |
|
| U.S. v. Steven Goldberg |
E.D. Mo. |
$125,000 |
 |
| Medicare billing |
3/04 |
N |
|
| U.S. ex rel. Barbera v. Tenet Healthcare Corp. |
S.D. Fla. |
$22.5 mill. |
 |
| Medicare billing |
3/04 |
Y |
|
| U.S. ex rel. Grau v. Johns Hopkins Univ. |
D. Md. |
$2.6 mill. |
 |
| Research grant fraud |
2/26/04 |
N |
|
| U.S. ex rel. Health Out-Comes Technologies v. Rhode Island Hospital |
D. R.I. |
$625,000 |
 |
| Medicare coding |
2/17/04 |
N |
|
| U.S. v. Natl. Mentor Healthcare |
D.N.M. |
$1.17 mill. |
 |
| Medicare overbilling |
2/6/04 |
N |
|
| U.S. v. Manor Care Health Services |
E.D. Va. |
$151,000 plus improvements |
 |
| Inadequate care |
2/5/04 |
N |
|
| U.S. ex rel. Lopez v. Coast Plaza Drs. Hosp. |
C.D. Cal. |
$4.1 mill. |
 |
| Medicare billing |
2/2/04 |
Y |
|
| U.S. ex rel. Health Out-Comes Technologies v. St. Vincent's Med. Cntr. |
D. R.I. |
$1.65 mill. |
 |
| Medicare coding |
1/04 |
N |
|